Healthcare Provider Details

I. General information

NPI: 1790756591
Provider Name (Legal Business Name): HAYWOOD REGIONAL MEDICAL CENTER URGENT CARE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 LEROY GEORGE DR
CLYDE NC
28721-7497
US

IV. Provider business mailing address

262 LEROY GEORGE DR
CLYDE NC
28721-7430
US

V. Phone/Fax

Practice location:
  • Phone: 828-452-8390
  • Fax:
Mailing address:
  • Phone: 828-452-8390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID STEGALL
Title or Position: DIRECTOR
Credential:
Phone: 828-452-8390